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Yun JH, Jung HI, Lee HU, et al. The efficacy of laparoscopic cholecystectomy without discontinuation in patients on antithrombotic therapy. Ann Surg Treat Res. 2017;92(3):143-148doi: 10.4174/astr.2017.92.3.143.
Yun, J. H., Jung, H. I., Lee, H. U., Baek, M. J., & Bae, S. H. (2017). The efficacy of laparoscopic cholecystectomy without discontinuation in patients on antithrombotic therapy. Annals of surgical treatment and research, 92(3), 143-148. https://doi.org/10.4174/astr.2017.92.3.143
Yun, Jong Hyuk, et al. "The efficacy of laparoscopic cholecystectomy without discontinuation in patients on antithrombotic therapy." Annals of surgical treatment and research vol. 92,3 (2017): 143-148. doi: https://doi.org/10.4174/astr.2017.92.3.143
Yun JH, Jung HI, Lee HU, Baek MJ, Bae SH. The efficacy of laparoscopic cholecystectomy without discontinuation in patients on antithrombotic therapy. Ann Surg Treat Res. 2017 Mar;92(3):143-148. doi: 10.4174/astr.2017.92.3.143. Epub 2017 Feb 24. PMID: 28289668; PMCID: PMC5344804.
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Ann Surg Treat Res. 2017 Mar;92(3):143-148. doi: 10.4174/astr.2017.92.3.143. Epub 2017 Feb 24.

The efficacy of laparoscopic cholecystectomy without discontinuation in patients on antithrombotic therapy.

Annals of surgical treatment and research

Jong Hyuk Yun, Hae Il Jung, Hyoung Uk Lee, Moo-Jun Baek, Sang Ho Bae

Affiliations

  1. Department of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.

PMID: 28289668 PMCID: PMC5344804 DOI: 10.4174/astr.2017.92.3.143

Abstract

PURPOSE: Laparoscopic cholecystectomy (LC) is one of the most commonly performed surgeries in the world today. However, there is no consensus regarding whether LC can be performed in patients with acute cholecystitis while on antithrombotic therapy. The objective of our study was to describe postoperative outcomes of patients who underwent emergent LC without interruption to antithrombotic therapy.

METHODS: We performed a retrospective review of patients who underwent LC for acute cholecystitis while on antithrombotic therapy from 2010 to 2015 at Soonchunhyang Universtiy Cheonan Hospital. Patients were divided into 2 groups as underwent emergent LC and elective LC.

RESULTS: A total of 67 patients (emergent group, 22; elective group, 45) were included in the analysis. Elective group had significantly longer duration between the admission and operation (8 [7-10] days

CONCLUSION: Emergent LC without interruption to antithrombotic therapy was relatively safe and useful. A well-designed multicenter study is needed to confirm the safety and efficacy of LC without suspension of antithrombotic therapy and to provide a simple guideline.

Keywords: Acute cholecystitis; Antithrombotic therapy; Laparoscopic cholecystectomy

Conflict of interest statement

CONFLICTS OF INTEREST: No potential conflict of interest relevant to this article was reported.

References

  1. J Intern Med. 2005 May;257(5):399-414 - PubMed
  2. Surg Endosc. 2004 Sep;18(9):1323-7 - PubMed
  3. Am Fam Physician. 2010 Dec 15;82(12):1484-9 - PubMed
  4. Gastrointest Endosc. 2006 Jul;64(1):98-100 - PubMed
  5. Br J Anaesth. 2010 Mar;104(3):305-12 - PubMed
  6. N Engl J Med. 2012 May 17;366(20):1859-69 - PubMed
  7. J Vasc Surg. 2002 Jun;35(6):1204-9 - PubMed
  8. Arch Intern Med. 2010 Sep 13;170(16):1433-41 - PubMed
  9. Circulation. 2004 Sep 21;110(12):1658-63 - PubMed
  10. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002 May;93(5):544-51 - PubMed
  11. Thromb Haemost. 2011 May;105(5):743-9 - PubMed
  12. Br J Anaesth. 2007 Sep;99(3):316-28 - PubMed
  13. J Laparoendosc Adv Surg Tech A. 2013 Jun;23(6):500-5 - PubMed
  14. J Clin Invest. 1975 Sep;56(3):624-32 - PubMed
  15. Am J Surg. 2015 Apr;209(4):689-94 - PubMed
  16. Arch Surg. 2008 Jun;143(6):533-7 - PubMed
  17. Eur Heart J. 2009 Nov;30(22):2769-812 - PubMed
  18. Chest. 2012 Feb;141(2 Suppl):e326S-50S - PubMed
  19. Clin Lab Haematol. 2003 Apr;25(2):127-30 - PubMed
  20. Am J Surg. 2014 Dec;208(6):926-31; discussion 930-1 - PubMed
  21. Surg Endosc. 2006 Jan;20(1):82-7 - PubMed

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